Organization
UCSF DEPARTMENT OF LABORATORY MEDICINE
Active
Parent organization
UNIVERSITY OF CALIFORNIA SAN FRANCISCO MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY OF CALIFORNIA SAN FRANCISCO MEDICAL CENTER
Authorized official
MR. DAVE REIN (COO)
(415) 476-4003
Entity
Organization
Contact information
Practice address
505 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2204
(415) 476-1000
Mailing address
1635 DIVISADERO ST, SUITE 625, BOX 1821, SAN FRANCISCO, CA 94143-0001
(415) 476-4029
(415) 476-4150
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
220000091
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D0594684
CLIA
CA
01
—
05D0643676
CLIA
CA
01
—
05D1024215
CLIA
CA
Enumeration date
01/08/2007
Last updated
05/26/2011
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